Malacoplakia of the epididymis. Report of a case and review of the literature

Urologia Internationalis
K P DieckmannG Zimmer-Krolzig

Abstract

A 65-year-old diabetic man presented with a painful swelling of his right epididymis. Urine culture was sterile. Semicastration was performed and histology revealed malacoplakia of the epididymis without involvement of the testis. Histologic workup demonstrated typical von Hansemann cells and Michaelis-Gutmann bodies stained by von Kossa's stain. This is the 19th case of epididymal malacoplakia and the 9th case of epididymal malacoplakia without concurrent involvement of the testis. Literature review shows that the present case is typical with respect to the clinical presentation and with regard to the age of presentation. The fact that this patient was suffering from diabetes mellitus lends some support to the assumption that a compromised immune status could be etiologic in malacoplakia.

Citations

Sep 7, 2007·Virchows Archiv : an International Journal of Pathology·F AlgabaA Lopez-Beltran
Dec 17, 2009·International Urology and Nephrology·Abul Ala Syed Rifat MannanChandramouli Bharati
Feb 18, 2003·Pathology International·Shih-Cheng ChouHui-Hwa Tseng
Sep 12, 2006·Upsala Journal of Medical Sciences·Margrét AgnarsdóttirRoger Willén
Feb 24, 2011·Angewandte Chemie·Saumen ChakrabortyVincent L Pecoraro
May 15, 2018·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Pardeep K MittalFrank H Miller
Jun 24, 2005·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·Bruce SidersRonney Abaza

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